Nowicka Paulina, Flodmark Carl-Erik
Childhood Obesity Unit, University Hospital Malmö, Malmö, Sweden.
Int J Pediatr Obes. 2008;3 Suppl 1:44-50. doi: 10.1080/17477160801896994.
A dramatic increase in prevalence of pediatric obesity has occurred in most countries over the past few decades. This is of particular significance given the fact that overweight children and adolescents are at increased risk for multiple medical co-morbidities, as well as psychosocial and behavioral difficulties. While considerable attention has recently been paid to identifying obesity and the importance of associated co-morbidities, there has been less focus on considerations related to effective interventions. Interventions aimed at childhood obesity include prevention and treatment. Both prevention and treatment need improvement to be useful in the clinical setting. Few investigators have demonstrated that treatment is effective. The aim of this review is to examine the effectiveness of family-based interventions in obese pediatric subjects and to explore what specific components of family-based programs are of particular significance when treating obese children. A literature search was performed and relevant studies are presented. A majority of the studies support the use of family-based treatment. Furthermore, to develop a fully interactive model, more focus is needed on the specific techniques used in evidence-based programs.
在过去几十年里，大多数国家儿童肥胖的患病率急剧上升。鉴于超重儿童和青少年患多种合并症以及心理社会和行为问题的风险增加，这一点尤为重要。虽然最近人们相当关注肥胖的识别以及相关合并症的重要性，但对有效干预措施相关因素的关注较少。针对儿童肥胖的干预措施包括预防和治疗。预防和治疗都需要改进，才能在临床环境中发挥作用。很少有研究者证明治疗是有效的。本综述的目的是研究以家庭为基础的干预措施对肥胖儿童受试者的有效性，并探讨在治疗肥胖儿童时，以家庭为基础的项目的哪些具体组成部分具有特别重要的意义。我们进行了文献检索并呈现了相关研究。大多数研究支持使用以家庭为基础的治疗方法。此外，为了开发一个完全互动的模型，需要更多地关注循证项目中使用的具体技术。
